EXCLUDEDPROVIDER
Individual Program Crime

Theophilus Amengaeteogo Depona

Edmond, OK 73012

Public HHS-OIG LEIE exclusion record

Theophilus Amengaeteogo Depona of Edmond, OK is registered in the CMS NPI Registry under National Provider Identifier (NPI) 1013266212 with a primary specialty of Counselor. According to the HHS-OIG List of Excluded Individuals/Entities (LEIE), Theophilus Amengaeteogo Depona is currently excluded from participation in federally funded health care programs due to conviction of program-related crimes, as of February 20, 2020.

Status
Currently listed by HHS-OIG
Record type
Individual
Location
Edmond, OK 73012
Exclusion date
February 20, 2020
Exclusion type
Program Crime (1128a1)
NPI
1013266212

Record summary

Theophilus Amengaeteogo Depona appears in the HHS-OIG List of Excluded Individuals/Entities (LEIE) public dataset as an individual record associated with Edmond, Oklahoma. The latest imported LEIE dataset lists this record as currently excluded from participation in federally funded health care programs. The exclusion date shown in the source record is February 20, 2020, and the exclusion type is 1128a1, identified by HHS-OIG as conviction of program-related crimes.

Source record

SourceHHS-OIG LEIE (public dataset)
Record typeIndividual
Current statusCurrently listed by HHS-OIG
Exclusion dateFebruary 20, 2020
Exclusion typeConviction of program-related crimes (1128a1)
NPI1013266212
Source dataset dateMay 2026

What this exclusion type means

HHS-OIG identifies exclusion type 1128a1 as “Conviction of program-related crimes.” Conviction of a criminal offense related to the delivery of an item or service under Medicare or a State health care program (mandatory exclusion, minimum 5 years).

This exclusion type is a statutory category used by HHS-OIG in the LEIE dataset. The category describes the legal authority associated with the exclusion record, not a separate investigation or additional reporting by Excluded Provider.

Location and provider classification

This LEIE record is associated with Edmond, OK 73012. The listed provider category is Employee - State / Local / Tribal. The listed specialty is State Government.

NPI Registry context

The LEIE record lists NPI 1013266212. CMS NPPES public registry data lists this NPI as an individual record with primary taxonomy Counselor (101Y00000X). Registered practice location: Oklahoma City, OK. NPI enumeration date: Sep 4, 2012. NPPES status: Active. The NPI Registry lists credential: bhrs.

NPI Registry data is administrative provider-identification data from CMS. It does not independently verify or explain the HHS-OIG exclusion record above. Verify exclusion status directly with HHS-OIG.

Other excluded providers in Edmond, OK

Other individuals and entities currently listed in the HHS-OIG LEIE public dataset with a Edmond, OK address.

Alexander Frederick Frank Individual Patient Abuse
Edmond, OK · Conviction relating to patient abuse or neglect · Excluded Aug 2025
David Dean Click Individual Revocation
Edmond, OK · License revocation, suspension, or surrender · Excluded Aug 2024
Cornelius Oloyede Individual Patient Abuse
Edmond, OK · Conviction relating to patient abuse or neglect · Excluded May 2024
Jonathan Driskill Barras Individual Controlled Substance
Edmond, OK · Misdemeanor conviction relating to controlled substance · Excluded Mar 2024
Gerald Ngwa Individual Patient Abuse
Edmond, OK · Conviction relating to patient abuse or neglect · Excluded Jun 2023
Robert III Goff Individual Program Crime
Edmond, OK · Conviction of program-related crimes · Excluded Mar 2023
Alissa Grace Westbrook Individual Revocation
Edmond, OK · License revocation, suspension, or surrender · Excluded Jun 2020
Linli Ruth Shamy Hemric Individual Revocation
Edmond, OK · License revocation, suspension, or surrender · Excluded Mar 2020

See all 41 excluded providers in Edmond →

How to verify this record

This page is a public-record summary and should be treated as a possible LEIE match, not final identity verification. To verify the record, use the official HHS-OIG LEIE search and compare available identifying information through the official process. Name, location, provider category, specialty, exclusion date, and NPI should be treated as matching clues rather than final proof of identity.

What this page does not include

This page summarizes the HHS-OIG LEIE public dataset only. It does not search state Medicaid exclusion lists, state licensing-board actions, court records, malpractice records, employment history, civil lawsuits, or non-public investigations.

Verify with HHS-OIG Remove / correct this record

Related

More excluded individuals in Oklahoma More records in Edmond More conviction of program-related crimes records